Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.32 / $2,744.00 / $4,626.00	Facility		$189.32	$2,744.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $274.70 / $659.55	Professional		$118.29	$274.70	$659.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $240.71 / $502.52	Professional		$155.75	$240.71	$502.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $230.01 / $297.71	Professional		$184.32	$230.01	$297.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,183.54 / $1,518.13 / $2,212.35	Facility		$1,183.54	$1,518.13	$2,212.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.23 / $396.31 / $690.38	Professional		$207.23	$396.31	$690.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $326.48 / $569.52	Professional		$254.66	$326.48	$569.52